Summary

This is a Certified Business Enterprise (CBE) Form for the California Department of Public Health's Lab Supplies Media procurement (Contract 588930). The form serves as a certification and compliance document for bidders participating in this supply contract opportunity. The document establishes eligibility requirements and documentation standards for vendors seeking to provide laboratory supplies and media to the state agency. The form requires bidders to provide detailed information regarding their business status, ownership structure, and certification credentials to demonstrate compliance with California's small business and minority-owned business enterprise programs.

The CBE Form establishes mandatory set-asides and preferences for certified small businesses, minority-owned enterprises, women-owned businesses, and disabled veteran-owned businesses participating in the procurement process. Bidders must complete comprehensive attestations regarding their business classification, annual revenues, employee counts, and ownership documentation to verify eligibility for applicable preferences. The form functions as both a screening mechanism to ensure compliance with state contracting requirements and as a baseline document for evaluating bidder qualifications under California's certified business enterprise program, with all submissions subject to verification and audit by the procuring agency.